| Doctor Name: | LOIS A KUBITSCHEK |
| NPI Number: | 1003900424 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | GNP |
| License Number: | R110940-5 |
| Business Practice Address: | 17 W. Exchange Street Suite 600 St. Paul, MN - 55102 |
| Business Phone Number: | 6512322550 |
| Business Fax Number: | 6512322551 |
| Mailing Address: | 17 W. Exchange Street, Suite 600 ST. PAUL |
| State: | MN |
| Postal Code: | 55102 |
| Phone Number: | 6512322550 |
| Fax Number: | 6512322551 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | R110940-5 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |